鼻泪管内植管与泪囊鼻腔吻合术的临床分析-东南大学学报医学版

鼻泪管内植管与泪囊鼻腔吻合术的临床分析

单位：东南大学医学院附属徐州第四医院眼科,

分类号：R779.6, R777.2+3

出版年·卷·期（页码）：2001·20·第一期（57-58）

摘要：

目的：探讨鼻泪管内植管与泪囊鼻腔吻合术相比较，在适应证、手术方法及临床疗效等方面是否有推广价值和实用性。方法：用不锈钢管自制鼻泪管钻通器，术中钻通阻塞的鼻泪管后，再用一次性输液皮条植入鼻泪管内以支撑管腔和引流泪液。同时对行泪囊鼻腔吻合术的病人进行疗效分析比较，并行统计学分析。结果：植管组58例，57例平均随访2年8个月，治愈率为84.2%，失败率15.8%；吻合组48例，平均随访2年5个月，治愈率为90%，失败率10%。统计学处理显示两种方法效果基本相同。结论：根据病人个体需要，适当选择手术方法，均可获得满意效果。

Objective To compare the operation method and clinical effect of nasolacrimal duct intubation and the traditional dacryocystorhinostomy and assess the value of their application.Method Bore the blocked section with driller made of stainless steel and implant line to prop up the duct and drain the tears.Compared the effect to that of dacryocystorhinostomy.Results Nasolacrimal duct intubation was done for 58 cases,57 cases out of which were observed for 2 years and 8 months averagely,the cure rate was 84.2%.In dacryocystorhinostomy group,48 cases were observed for 2 years and 5 months averagely,the cure rate was 90%.There was no obvious difference between the two groups( P >0.05).Conclusion The right operation should be chosen according to the state of illness.

参考文献：

[1] 周振德. 临床泪器病, 1993
[2] 黄建纲, 徐淑亮. 鼻泪管阻塞的钻切注意事项及病理学观察, 1987
[3] 郑军, 赵秋红. 三联冲洗液与素高睫疗眼膏治疗泪道阻塞的疗效比较, 1999
[4] 黄红深. 泪囊鼻腔吻合术与鼻泪管阻塞钻切术的比较, 1998(1)

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